2018 Volume 38 Issue 5 Pages 825-830
The incidence of colonic diverticulosis has been increasing in Japan because of westernization of the dietary habits and aging of the population. Along with this trend, the incidence of colonic diverticular bleeding has also been increasing. In general, the modality of first choice for emergency hemostasis in cases of colonic diverticular bleeding is endoscopic hemostasis; if this is unsuccessful, arterial embolization may be selected, with surgery as the last resort. It is desirable to identify the source of bleeding by endoscopy or CT before surgery, to avoid total colectomy. Colon diverticulosis is a benign disease, so we propose to consider the usefulness of laparoscopic surgery and the possibility of preventive surgery in a future study.
